Yale New Haven Hospital’s Center for Musculoskeletal Care recently announced their partnership with San Diego-based tele-rehab startup Reflexion Health. Designed to help patients complete their skilled therapy outside of the hospital, Reflexion Health offers a unique, FDA-cleared Virtual Exercise Rehabilitation Assistant (VERA). Patients can use VERA from home and send reports on functional assessment and movements back to monitoring therapists remotely. Yale New Haven plans not only to have this service at patients’ homes, but also installed in the Center for Musculoskeletal Care to be used prior to going home.
Reflexion Health takes the therapy to the home by installing VERA in the home with instructions on use prior to surgery. Patients then return home after surgery, and conduct their therapy through coaching videos. These are complete with representations of their movements presented on screen next to a virtual instructor.
It isn’t entirely clear what exact hardware system Reflexion Health uses for their VERA home therapy program. However, from reviewing their demo video and product images, it appears to incorporate elements of the popular Microsoft Xbox Kinect motion-sensing technology. The Kinect, specifically the Kinect V2 has become increasingly popular for use in rehabilitation, as demonstrated by a recent publication of its use in measuring reachable workspace in ALS patients and in facioscapulohumeral muscular dystrophy (FSHD) patients. Ensuring patient adherence with therapy recommendations and home exercise programs is a key challenge for physicians, and ideally the added benefit of therapy directly from home may serve to increase participation.